Claims & Insurance Follow-up Lead

Job Description

Job Description

We are looking for an experienced Claims & Insurance Follow-up Lead to support a healthcare revenue cycle team in Vancouver, Washington. This Contract position will oversee daily insurance follow-up and accounts receivable activities, helping ensure timely reimbursement, strong team performance, and high-quality service for patients and payors. The role combines staff leadership, operational oversight, and process improvement within a fast-paced medical billing environment.

Responsibilities:
• Guide the day-to-day work of patient account staff across insurance follow-up, claim edit review, and contract analysis functions.
• Track insurance accounts receivable performance, identify barriers to payment, and propose corrective actions that improve collections and reduce aging.
• Serve as an escalation point for complex patient or customer concerns, ensuring issues are resolved with professionalism and urgency.
• Evaluate denial patterns and use findings to drive workflow improvements that strengthen clean claim performance and reduce rework.
• Coordinate team schedules and coverage plans to maintain consistent support for operational demands.
• Prepare productivity metrics, goal tracking updates, and performance reports for revenue cycle leadership.
• Conduct coaching, performance reviews, and hiring activities while providing input on corrective action when needed.
• Maintain team policies, training standards, and compliance practices related to insurance rules, coding requirements, and internal procedures.
• Partner with cross-functional teams on workflow optimization, staff education, system upgrade training, and application testing activities.
• Participate in department and clinic-wide improvement initiatives that enhance business services and reimbursement outcomes.• Experience leading or supervising healthcare accounts receivable, insurance follow-up, or medical billing teams.
• Strong working knowledge of insurance claims management, denial resolution, and reimbursement processes.
• Background in monitoring AR performance, productivity measures, and key operational indicators.
• Familiarity with billing functions, contract compliance, and revenue cycle best practices in a healthcare setting.
• Ability to train staff, reinforce policies, and support competency development across the team.
• Experience handling escalated service issues and communicating effectively with patients, staff, and leadership.
• Working knowledge of coding and regulatory standards relevant to insurance billing, including ICD-10.
• Proficiency with Epic or similar healthcare systems used for billing, follow-up, and reporting.